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Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
AK101
Placebo
Sponsored by
Akeso
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis focused on measuring IL12/23

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Have had Plaque Psoriasis diagnosed at least 6 months prior to screening.
  2. Clinical diagnosis of stable plaque psoriasis with involvement of ≥ 10% body surface area. Psoriasis area and severity index(PASI) ≥12. Physicians Global Assessment score ≥3.
  3. Candidate for systemic therapy, defined as having psoriasis inadequately controlled by topical treatment (including topical corticosteroids) and/or phototherapy and/or previous systemic therapy.
  4. Women of childbearing potential should not be in pregnancy or lactation, men and women of childbearing potential must agree to use adequate birth control measures during study participation and for 6 months after the last doses of study treatment.
  5. Ability to provide written informed consent and to be compliant with the schedule of protocol assessments.
  6. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol.

Exclusion Criteria:

  1. Had nonplaque forms of psoriasis (e.g., Guttate, erythrodermic, or pustular).
  2. Had other active skin diseases or skin infections (e.g., Bacterial, fungal or viral infection) that could affect psoriasis evaluation.
  3. Had imaging diagnosis of pulmonary infection or fibrosis during the 3 months prior to screening.
  4. History or evidence of active or latent tuberculosis at screening.
  5. Serious systemic infections or local infections during the 2 months prior to screening.
  6. History of cancer, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin that have been excised and resolved).
  7. Known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study.
  8. Known history of alcohol or drug abuse.
  9. History or known presence of recurrent or chronic infection (e.g., hepatitis or C, human immunodeficiency virus [HIV], syphilis, TB).
  10. Had received any DMARDs (e.g., Anti-malaria drug, retinoids, interferon, lithium) during 2 weeks prior to screening.
  11. Had received any physical therapy (e.g., PUVA, ultra-violet therapy, tanning beds) during 2 weeks prior to screening.
  12. Had received any systemic psoriasis therapy (e.g., Glucocorticoid, retinoids, ciclosporin, methotrexate, or tripterygium) during 4 weeks prior to screening.
  13. Had enrolled in any other trials during 3 months prior to screening or concurrently enrolled in any other trials.
  14. Had received previous treatment with any anti-IL-12/IL-23, IL-12, IL-23, IL-17 therapy for the treatment of psoriasis or psoriatic arthritis.
  15. Had received natalizumab or any other drugs that regulate B cells or T cells (rituximab, abatacept, alemtuzumab) during 12 months prior to screening.
  16. Had received other biologic therapy (e.g., TNF inhibitor) during 6 months prior to screening.

Sites / Locations

  • Peking Union Medical College Hospital
  • Peking University People's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

AK101 45mg every 8 weeks

AK101 45mg - every 12 weeks

AK101 90mg - every 8 weeks

AK101 90mg -every 12 weeks

AK101 135mg -every 8 weeks

AK101 135mg -every 12 weeks

Placebo to AK101

Arm Description

AK101 45mg on Week 0 and 4 administered subcutaneously followed by AK101 45mg administered subcutaneously every 8 weeks

AK101 45mg on Week 0 and 4 administered subcutaneously followed by AK101 45mg administered subcutaneously every 12 weeks

AK101 90mg on Week 0 and 4 administered subcutaneously followed by AK101 90mg administered subcutaneously every 8 weeks

AK101 90mg on Week 0 and 4 administered subcutaneously followed by AK101 90mg administered subcutaneously every 12 weeks

AK101 135mg on Week 0 and 4 administered subcutaneously followed by AK101 135mg administered subcutaneously every 8 weeks

AK101 135mg on Week 0 and 4 administered subcutaneously followed by AK101 135mg administered subcutaneously every 12 weeks

Placebo on Week 0 and 4 administered subcutaneously followed by AK101 135mg administered subcutaneously at Week 12, 16 and then every 12 weeks

Outcomes

Primary Outcome Measures

Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75) at Week 12
Incidence of treatment emergent adverse events (TEAEs)

Secondary Outcome Measures

Number of participants who achieved ≥ 90% reduction in Psoriasis Area and Severity Index (PASI90) at Week 12
Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75)
Number of participants who achieved ≥ 90% reduction in Psoriasis Area and Severity Index (PASI90)
Number of participants who achieved 100% reduction in Psoriasis Area and Severity Index (PASI100) at Week 12
Proportion of subjects who achieve a ≥ 4-point reduction in DLQI from baseline
The DLQI is a dermatology-specific quality of life (QoL) instrument designed to assess the impact of the disease on a participant's QoL. It is a 10-item questionnaire that, in addition to evaluating overall Qol, can be used to assess six different aspects that mey affect QoL: 1) symptoms and feelings, 2) daily activities, 3) leisure, 4) work or school performance, 5) personal relationships, and 6) treatment.
Proportion of subjects who achieve Physician Global Assessment (PGA) of clear or almost clear (0 or 1) after treatment
Number of subjects who develop detectable anti-drug antibodies (ADAs)
The immunogenicity of AK101 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs)
Minimum observed concentration (Cmin) of AK101 at steady state

Full Information

First Posted
November 19, 2019
Last Updated
March 1, 2023
Sponsor
Akeso
Collaborators
Akeso Tiancheng, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04173637
Brief Title
Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis
Official Title
A Randomized, Double-blinded, Placebo-controlled, Phase IIb Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
December 19, 2019 (Actual)
Primary Completion Date
June 27, 2021 (Actual)
Study Completion Date
March 3, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Akeso
Collaborators
Akeso Tiancheng, Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a multiple-center, randomized, double-blind, placebo-controlled Phase IIb study to evaluate the efficacy and safety of AK101, an anti-IL-12/23 p40 antibody, when administered subcutaneously, in subjects with moderate-to-severe plaque psoriasis. The study will consist of 3 periods: up to 4 weeks screening, 12 weeks double-blinded treatment and long-term follow-up period(up to 52 weeks).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque Psoriasis
Keywords
IL12/23

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
330 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AK101 45mg every 8 weeks
Arm Type
Experimental
Arm Description
AK101 45mg on Week 0 and 4 administered subcutaneously followed by AK101 45mg administered subcutaneously every 8 weeks
Arm Title
AK101 45mg - every 12 weeks
Arm Type
Experimental
Arm Description
AK101 45mg on Week 0 and 4 administered subcutaneously followed by AK101 45mg administered subcutaneously every 12 weeks
Arm Title
AK101 90mg - every 8 weeks
Arm Type
Experimental
Arm Description
AK101 90mg on Week 0 and 4 administered subcutaneously followed by AK101 90mg administered subcutaneously every 8 weeks
Arm Title
AK101 90mg -every 12 weeks
Arm Type
Experimental
Arm Description
AK101 90mg on Week 0 and 4 administered subcutaneously followed by AK101 90mg administered subcutaneously every 12 weeks
Arm Title
AK101 135mg -every 8 weeks
Arm Type
Experimental
Arm Description
AK101 135mg on Week 0 and 4 administered subcutaneously followed by AK101 135mg administered subcutaneously every 8 weeks
Arm Title
AK101 135mg -every 12 weeks
Arm Type
Experimental
Arm Description
AK101 135mg on Week 0 and 4 administered subcutaneously followed by AK101 135mg administered subcutaneously every 12 weeks
Arm Title
Placebo to AK101
Arm Type
Placebo Comparator
Arm Description
Placebo on Week 0 and 4 administered subcutaneously followed by AK101 135mg administered subcutaneously at Week 12, 16 and then every 12 weeks
Intervention Type
Biological
Intervention Name(s)
AK101
Intervention Description
an anti-IL-12/23p40 monoclonal antibody
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
matching placebo
Primary Outcome Measure Information:
Title
Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75) at Week 12
Time Frame
Week 12
Title
Incidence of treatment emergent adverse events (TEAEs)
Time Frame
From the time of signing the informed consent form till last follow-up visit (Up to Week 52)
Secondary Outcome Measure Information:
Title
Number of participants who achieved ≥ 90% reduction in Psoriasis Area and Severity Index (PASI90) at Week 12
Time Frame
At baseline and Week 12
Title
Number of participants who achieved ≥ 75% reduction in Psoriasis Area and Severity Index (PASI75)
Time Frame
Up to Week 52 (except for Week 12)
Title
Number of participants who achieved ≥ 90% reduction in Psoriasis Area and Severity Index (PASI90)
Time Frame
Up to Week 52( except for Week 12)
Title
Number of participants who achieved 100% reduction in Psoriasis Area and Severity Index (PASI100) at Week 12
Time Frame
Up to Week 52
Title
Proportion of subjects who achieve a ≥ 4-point reduction in DLQI from baseline
Description
The DLQI is a dermatology-specific quality of life (QoL) instrument designed to assess the impact of the disease on a participant's QoL. It is a 10-item questionnaire that, in addition to evaluating overall Qol, can be used to assess six different aspects that mey affect QoL: 1) symptoms and feelings, 2) daily activities, 3) leisure, 4) work or school performance, 5) personal relationships, and 6) treatment.
Time Frame
Up to Week 52
Title
Proportion of subjects who achieve Physician Global Assessment (PGA) of clear or almost clear (0 or 1) after treatment
Time Frame
Up to Week 52
Title
Number of subjects who develop detectable anti-drug antibodies (ADAs)
Description
The immunogenicity of AK101 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs)
Time Frame
Up to Week 52
Title
Minimum observed concentration (Cmin) of AK101 at steady state
Time Frame
Up to Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have had Plaque Psoriasis diagnosed at least 6 months prior to screening. Clinical diagnosis of stable plaque psoriasis with involvement of ≥ 10% body surface area. Psoriasis area and severity index(PASI) ≥12. Physicians Global Assessment score ≥3. Candidate for systemic therapy, defined as having psoriasis inadequately controlled by topical treatment (including topical corticosteroids) and/or phototherapy and/or previous systemic therapy. Women of childbearing potential should not be in pregnancy or lactation, men and women of childbearing potential must agree to use adequate birth control measures during study participation and for 6 months after the last doses of study treatment. Ability to provide written informed consent and to be compliant with the schedule of protocol assessments. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol. Exclusion Criteria: Had nonplaque forms of psoriasis (e.g., Guttate, erythrodermic, or pustular). Had other active skin diseases or skin infections (e.g., Bacterial, fungal or viral infection) that could affect psoriasis evaluation. Had imaging diagnosis of pulmonary infection or fibrosis during the 3 months prior to screening. History or evidence of active or latent tuberculosis at screening. Serious systemic infections or local infections during the 2 months prior to screening. History of cancer, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin that have been excised and resolved). Known allergy or hypersensitivity to any biologic therapy at screening that would pose an unacceptable risk to the subject if participating in this study. Known history of alcohol or drug abuse. History or known presence of recurrent or chronic infection (e.g., hepatitis or C, human immunodeficiency virus [HIV], syphilis, TB). Had received any DMARDs (e.g., Anti-malaria drug, retinoids, interferon, lithium) during 2 weeks prior to screening. Had received any physical therapy (e.g., PUVA, ultra-violet therapy, tanning beds) during 2 weeks prior to screening. Had received any systemic psoriasis therapy (e.g., Glucocorticoid, retinoids, ciclosporin, methotrexate, or tripterygium) during 4 weeks prior to screening. Had enrolled in any other trials during 3 months prior to screening or concurrently enrolled in any other trials. Had received previous treatment with any anti-IL-12/IL-23, IL-12, IL-23, IL-17 therapy for the treatment of psoriasis or psoriatic arthritis. Had received natalizumab or any other drugs that regulate B cells or T cells (rituximab, abatacept, alemtuzumab) during 12 months prior to screening. Had received other biologic therapy (e.g., TNF inhibitor) during 6 months prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jianzhong Zhang, MD
Organizational Affiliation
Peking University People's Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Hongzhong Jin, MD
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Study of AK101 in Subjects With Moderate to Severe Plaque Psoriasis

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